Lisa Souba, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

630 Boardwalk Ave Ste 1
Bozeman, MT 59718-4118

Phone

(406) 600-7267

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1831774090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11085",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191085",
            "telephone_number": "406-600-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BOARDWALK AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184118",
            "telephone_number": "406-600-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUBA",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahe Solomon, C.A.
• Katie Sonnek
• Larry W Sonnenberg, MD
• Heidi Ann Soper
• Gabriella Sophir
• Mozelle M Soule, PA-C
• Source Counseling Collective
• Southwestern Montana Home Care (Right at Home)
• Dawn Sowell, PCLC
• Daniel Lewis Spain, DDS

• Massage Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.